Question 1

A patient who has malignant cancer secondary to a high-grade lymphoma has been admitted with muscle weakness,tetany,paresthesia,and convulsion.The nurse notices the patient is being treated for tumor lysis syndrome (TLS)and initial treatment has not been successful.What should the nurse tell the family is the next step in treatment?

Accepted Answer

A)   Whole blood transfusion
B)   A bone marrow biopsy
C)   Immediate radiation treatment
D)   Dialysis D

Question 2

Nursing interventions for the patient problem of imbalanced nutrition: less than body requirements would include all these except:

Accepted Answer

A)   provide adequate,easily digestible,soft,bland foods.
B)   give small,frequent,highly nutritional meals.
C)   allow extra time to eat.
D)   offer three regular meals of highly nutritious foods. D

Question 3

A female patient,age 59,has lost 10 lb in the first 3 weeks of her chemotherapy and does not eat because nothing tastes good.What would be the appropriate patient problem for the plan of care?

Accepted Answer

A)   Ineffective health maintenance,related to lack of knowledge of nutritional requirements during radiation therapy
B)   Risk for infection,related to poor nutrition
C)   Imbalanced nutrition: less than body requirements,related to anorexia
D)   Ineffective therapeutic regimen management,related to refusal to eat C

Question 4

The difference between an excisional biopsy and an incisional biopsy is that an excisional biopsy involves the:

Accepted Answer

A)   use of a needle to obtain fluid samples.
B)   removal of the entire lesion.
C)   taking a "bite" from the lesion for study.
D)   shaving of the superficial layers of the lesion.

Question 5

What happens during the process of immunosurveillance?

Accepted Answer

A)   T cells recognizing and destroying the abnormal cell
B)   White blood cells (WB
C)  destroying the abnormal cell
C)   Excretion of histamine to interfere with the replication of the abnormal cell
D)   B cells attaching to abnormal cell

Question 6

Using the TNM staging classification system,what does a tumor staged as T4N3M2 mean?

Accepted Answer

A)   No evidence of primary tumor,lymph node involvement,or distant metastasis
B)   Carcinoma in situ,regional lymph node involvement,and metastasis to one site
C)   Enlarging tumor,increasing lymph node involvement,and distant metastasis
D)   Enlarging tumor,no lymph node involvement,or distant metastasis

Question 7

The nurse instructs a patient who has been smoking for 5 years about the warning signs of cancer.The nurse tells him that one of cancer's eight warning signals include:

Accepted Answer

A)   nagging cough or hoarseness.
B)   a sore that does not heal rapidly.
C)   gallbladder disease.
D)   hematopoietic changes.

Question 8

There is a risk of nausea and vomiting from chemotherapy and targeted therapy.Which of the following sets of drugs used for cancer treatment represent a high risk in this regard?

Accepted Answer

A)   Butyrophenones,phenothiazines,metoclopramide
B)   Methotrexate,5-fluorouracil,doxorubicin
C)   Carmustine (BiCNU) ,Cisplatin (Platinol) ,Dacarbazine (DTIC-Dome) 
D)   It does not matter.Chemotherapy provided to all patients will definitely trigger CINV.

Question 9

How do cancer cells differ from normal cells? (Select all that apply. )

Accepted Answer

A)   They replicate in an organized manner.
B)   They have larger nuclei.
C)   They have an irregular shape.
D)   They have a different number of chromosomes.
E)   They have a different mitosis process.

Question 10

Which statement is most appropriate for a nurse to tell a patient before insertion of the radioactive implant?

Accepted Answer

A)   "Nurses will always be available,but they will spend only short periods of time at your bedside."
B)   "Personal cleanliness is essential,so you will be given a complete bed bath each day."
C)   "Your diet will be changed to a high-fiber diet to encourage daily bowel movements."
D)   "Your bed linens will be completely changed each day to minimize radioactive contamination."

Question 11

The nurse remarks that the American Cancer Society (ACS)reports that cancer is the ______ leading cause of death in the United States.

Accepted Answer

The answer of The nurse remarks that the American Cancer...

Question 12

The American Cancer Society recommends a clinical breast examination by a health care professional for women between the age of 20 and 39 years every ________ years.

Accepted Answer

The answer of The American Cancer Society recommends a clinical...

Question 13

What is the function of organizations like The Lost Chord Club,Reach for Recovery,and I Can Cope?

Accepted Answer

A)   Arrange for transportation to a clinic.
B)   Provide a small amount of financial support to patients.
C)   Send volunteers to speak with a person facing a lifestyle change.
D)   Arrange for reduced drug costs.

Question 14

Why is seeking medical attention when any cancer warning signs occur frequently delayed?

Accepted Answer

A)   Difficulty accessing a health care provider or getting a referral consult.
B)   Lack of knowledge of the warning signs of cancer.
C)   Fear of the possible diagnosis of cancer and hoping signs will go away.
D)   Self-examination being complex and difficult to perform.

Question 15

The nurse caring for a patient who is being treated for cancer of the cervix by a radioactive implant discovers that the applicator with the radioactive material has become dislodged and is lying in the bed between the patient's legs.What should the nurse do?

Accepted Answer

A)   Use long-handled forceps grasp the applicator and wrap it in a towel.
B)   Help the patient to a chair and cover the applicator with a rubber sheet.
C)   Reassure the patient by staying at the bedside and call for help.
D)   Notify the charge nurse.

Question 16

Which of the following are thrombocytopenic precautions?

Accepted Answer

A)   Requesting an order for aspirin for discomfort
B)   Trimming toenails close
C)   Using an electric razor
D)   Vigorous tooth cleaning

Question 17

A patient,age 56,has been advised that his prostate-specific antigen (PSA)level is elevated.The health care provider then performed a digital rectal examination (DRE).What should the next definitive diagnostic test be?

Accepted Answer

A)   CA-125 test
B)   Transrectal ultrasound
C)   Needle biopsy of the prostate
D)   MRI

Question 18

A ___________ test screens for occult blood in the stool.

Accepted Answer

The answer of A ___________ test screens for occult blood...

Question 19

The nurse explains to a 43-year-old patient with a benign tumor in her right breast that a benign tumor differs from a malignant tumor in that benign tumors:

Accepted Answer

A)   do not cause damage to adjacent tissue.
B)   are simply an overgrowth of normal cells.
C)   do not spread to other tissues and organs.
D)   frequently recur in the same site.

Question 20

How many minutes of daily exercise does the American Cancer Society recommend as a prevention of cancer?

Accepted Answer

A)   10 minutes
B)   15 minutes
C)   20 minutes
D)   30 minutes

Exam 57: Care of the Patient With Cancer